| NPI | 1043462104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE REYNALDO REYNA Owner/Physician 505-820-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NM 2001-88) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-11-17 |